Ragon, Robert Travis

Ragon, Robert Travis is an individual health care provider with primary practice located at 4031 Ne Lakewood Way Suite 100, Lees Summit MO 64064-2060. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Ragon, Robert Travis can be contacted via phone (816) 525-9889.

Contact Information

Primary practice address
4031 Ne Lakewood Way Suite 100 Lees Summit MO 64064-2060
Phone: (816) 525-9889
Fax: (816) 554-0730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 002031 Missouri

Profile Details

NPI number 1063496198
LBN Legal business name Ragon, Robert Travis
Credentials M.S., M.DIV., L.P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Feb 24th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063496198 NPPES
Missouri Other 002031 LICENSE NUMBER
Missouri MEDICAID 498266204 LICENSE NUMBER

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